| Rebecca S. Goodman, Ph.d., Psychologist, Inc. | |
|
22 W Micheltorena St Ste B Santa Barbara CA 93101-6525 | |
| (805) 699-5810 | |
| Not Available |
| Full Name | Rebecca S. Goodman, Ph.d., Psychologist, Inc. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 22 W Micheltorena St Ste B, Santa Barbara, California |
| Authorized Official Name and Position | Rebecca Sue Goodman (OWNER) |
| Authorized Official Contact | 8056995810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca S. Goodman, Ph.d., Psychologist, Inc. 22 W Micheltorena St Ste B Santa Barbara CA 93101-6525 Ph: (805) 699-5810 | Rebecca S. Goodman, Ph.d., Psychologist, Inc. 22 W Micheltorena St Ste B Santa Barbara CA 93101-6525 Ph: (805) 699-5810 |
| NPI Number | 1679030175 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 02/21/2019 |
| Medicare PECOS PAC ID | 0749683118 |
|---|---|
| Medicare Enrollment ID | O20210722001219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679030175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Rebecca S Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831188291 PECOS PAC ID: 5890980304 Enrollment ID: I20101110000587 |
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